Individual provider Active NPI

Jennifer Eppinger, APNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Racine, WI
National Provider Identifier
1629826425
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
14452 Issued in WI
Practice address
930 Dr Martin Luther King Dr # 3
Racine, WI 53404-3008
Phone
(262) 771-0035
Fax
(262) 925-3255
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 14452 WI Primary

Addresses

Primary practice location

930 Dr Martin Luther King Dr # 3
Racine, WI 53404-3008

Mailing address

4006 Washington Rd
Kenosha, WI 53144-4819
Phone (262) 771-1685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712002148 WI Practitioner - Nurse Practitioner 0143765214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Community Health Center, Inc. Current Accepting new patients
Kenosha Community Health Center, Inc. Pediatrics CurrentSince Jun 4, 2024 Accepting new patients
Kenosha Community Health Center, Inc CurrentSince Jun 4, 2024 Accepting new patients
Liz Hanson Will, LLC Past Accepting new patients
Kenosha Community Health Center, Inc Past Accepting new patients

Locations

4006 Washington Rd
Kenosha, WI 53144
Phone (262) 652-4006

4536 22nd Ave
Kenosha, WI 53140
Phone (262) 656-0044

930 Dr Martin Luther King Dr
#3
Racine, WI 53404
Phone (262) 656-0044

903 S 2nd St
Silver Lake, WI 53170
Phone (262) 656-0044

Interoperability endpoints

  • Direct secure messaging: jeppinger686951@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1629826425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444819",
            "telephone_number": "262-771-1685",
            "fax_number": "262-925-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 DR MARTIN LUTHER KING DR # 3",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534043008",
            "telephone_number": "262-771-0035",
            "fax_number": "262-925-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPINGER",
        "first_name": "JENNIFER",
        "credential": "APNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "14452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.